Schedule of Note Payable and Other Debt (Details) - USD ($) $ in Thousands |
Jun. 30, 2026 |
Dec. 31, 2025 |
|---|---|---|
| Short-Term Debt [Line Items] | ||
| Gross bonds, note payable, and senior debt | $ 810,243 | $ 794,652 |
| Debt issuance costs | (7,607) | (4,154) |
| Net bonds, note payable, and senior debt | 802,636 | 790,498 |
| HUD Guaranteed Bank Loans [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross bonds, note payable, and senior debt | $ 249,954 | 254,085 |
| Weighted average interest rate | 3.26% | |
| Bank Loans [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross bonds, note payable, and senior debt | $ 162,635 | 163,177 |
| Weighted average interest rate | 6.40% | |
| Series A, B, C, and D bonds [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross bonds, note payable, and senior debt | $ 359,477 | 334,766 |
| Weighted average interest rate | 7.08% | |
| Notes Payable [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross bonds, note payable, and senior debt | $ 38,177 | $ 42,624 |
| Weighted average interest rate | 10.00% |